NPI: 1730281916 · MESQUITE, TX 75149 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 636 | $0.00 |
| 2021 | 6,425 | $87K |
| 2022 | 7,666 | $369K |
| 2023 | 6,630 | $309K |
| 2024 | 886 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 3,320 | 363 | $786K | |
| J0887 | Epoetin beta esrd use | 20 | 15 | $2K |
| 83970 | 796 | 777 | $33.02 | |
| 82108 | 80 | 79 | $19.72 | |
| 82746 | 72 | 71 | $11.76 | |
| 84520 | 1,179 | 695 | $9.66 | |
| 86706 | 45 | 43 | $8.59 | |
| 83550 | 843 | 823 | $6.89 | |
| 85018 | 1,956 | 658 | $5.67 | |
| 80051 | 298 | 295 | $5.60 | |
| 83540 | 874 | 852 | $5.17 | |
| 82565 | 203 | 202 | $4.09 | |
| 82040 | 311 | 307 | $3.96 | |
| 84100 | 100 | 89 | $3.79 | |
| 84450 | 211 | 206 | $0.00 | |
| 82310 | 532 | 388 | $0.00 | |
| 84460 | 205 | 200 | $0.00 | |
| 82247 | 296 | 288 | $0.00 | |
| J1756 | Iron sucrose injection | 55 | 13 | $0.00 |
| 85025 | 406 | 397 | $0.00 | |
| 82728 | 480 | 464 | $0.00 | |
| A4657 | Syringe w/wo needle | 9,266 | 749 | $0.00 |
| 84075 | 246 | 241 | $0.00 | |
| 80069 | 335 | 328 | $0.00 | |
| 87340 | 41 | 40 | $0.00 | |
| 82607 | 73 | 73 | $0.00 |